Organization
VALLEY DERMATOLOGY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KELLY MD (OWNER)
(701) 293-7408
Entity
Organization
Contact information
Practice address
3270 20TH ST S, FARGO, ND 58104-5917
(701) 293-7408
(701) 235-2099
Mailing address
3270 20TH ST S, FARGO, ND 58104-5917
(701) 293-7408
(701) 235-2099
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06546001
BLUE SHIELD
ND
05
—
13495
—
ND
01
—
510R8VA
BLUE SHIELD
MN
Enumeration date
11/08/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us